Jodi Lynn Duttenhefer, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4537 Issued in ND

Practice address

418 E Broadway Ave
Suite 25
Bismarck, ND 58501-4086

Phone

(701) 224-9611

Fax

(701) 224-9747

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2011.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1992089932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE",
            "address_2": "SUITE 25",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-224-9611",
            "fax_number": "701-224-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E BROADWAY AVE",
            "address_2": "SUITE 25",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014086",
            "telephone_number": "701-224-9611",
            "fax_number": "701-224-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTENHEFER",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Dupree, ATC
• Lisa Durkee
• Alea Kristine Dutchuk
• Tara Dutchuk
• Tiffany Dutke
• Markelle Duttenhefner-Ziegler
• Susan Duursma
• Terry Lynn Dwelle, MD, MPHTM
• Jill Dworshak, MS, OTR/L
• Maria Lynn Dwyer, DDS

• All providers in Bismarck, ND
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.